04D2159886 CLIA NUMBER - JAY JEFFREY MD FACS PLLC

Laboratory Demographics

  • CLIA Code: 04D2159886
  • Facility Name: JAY JEFFREY MD FACS PLLC
  • Facility Address: 253 VIRGINIA DR
    BATESVILLE, AR
    ZIP 72501
  • Facility Phone: 870 569-8179
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAY R. JEFFREY
  • NPI Number: 1063480168
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 04D2159886
LAB Type Physician Office
Facility Name JAY JEFFREY MD FACS PLLC
Street 253 VIRGINIA DR
City BATESVILLE
State AR
ZIP 72501
Phone 870 569-8179
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Physician Office
Lab Director DR. JAY R. JEFFREY

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This page was last updated on: 9/29/2025